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Home My WebLink AboutZ-10424FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. Certificate Of Occupancy No. ZlO~2.h, ......... Date...March..20 ................... 1985. THIS CERTIFIES that the building ................................................ Location of Property ~t&~'~. ..... Meelay -Avenue./,OOs~t[~i~ard- .Street:.. lli'attt~iei County Tax Map No. 1000 Section g'l 3 ......... Block ... ~ -1 .......... Lot ... g ............. Subdivision..~ollowoocL .................. Filed Map No. 175 ..... Lot Nd.s...3/,, .~5 .... Requirments for a one family dwelling built prior to conforms substantially to the_Application for Building Permit heretofore filed in this office dated Certificate of Occugancy # -- to .............. ~ O~:hl~T~ ~.~ 1062/4 ipl'itl. '2'3 ........ _. , 19~?. U~suant ..a.:~. dated .. Mai'oh' 20 ................ 19 ~1, was issued, and conforms to all of the requirements of the apphcable provisions of the law. The occupancy for which this certificate is issued is ......... i~.riv~te, one. faml!~,, dwelling, with. Access.~ry. S.truc.ture; ,(garage )... The certificate is issued to ... RU~.S el. C' :' Iqirle'~i)O~,'r.~Oi~r.t;j~'n'tj ...................... of the aforesaid building. Suffolk County Department of Health Approval .............. N. ,.A.o ........................ UNDERWRITERS CERTIFICATE NO ...................... Iq' o g.,, ........................ ................. : ....... ~..~./ .... Building Inspeclor 1/81 Location Subdivision Tollewood BUILDING DEPARTr'~NT TO%'~ OF SOUTHOLD, N. Y. HOUSING CODE INSPECTION REPORT 1270 Meday Avenue, 400 Howard Street, Mattituck, N.Y. (number & street) (Municipality) Map No. 175 Lot(s)34, 35 Name of O~er(s) Occupancy R-1 (type) Admitted by: Self Russell C. Nine and Wife Key available June B. Nine Tenant (owner-tent',t) Accompanied by: Self 113-11-8 Suffolk Co. Tax No.. Source of request June B. Nine Date March 18, 1981 DYf~.LING: Type of construction Wood Foundation Cement Block Total rooms, 1st. F1 5 #stories Cellar Full Crawl space 2nd. F1 2 3rd. F1 Bathroom(s) 1 Porch, type Breezeway. Type Heat Fireplace(s) Domestic hotwater Yes Other Toilet room(s) Glassed in Deck, type Garage Oil Fired Warm Air No. Exits T'j,'pe heater 1 Patio, type__ U'~iliIF-~--Fantry X Hotwater 2 Airconditioning Electric ACCESSORY STRUCTURES: .Garage, type const. Wood 1~ Car storage, type const. Swimming pool Guest, type Const. Other VIOLATIONS: Housing Code, Chapter 52 ., Location Description Art. Sec. Kitchen Gas Stove no Shut Off V · 52-52-E, Bathroom Wall tiles missing~ floor bad III 52T.~2, D Toilet Ro~m Wall and Floor Bad III 52-32, ~ Upstairs Hol'es in wall hallway II II 52-32, C Kitchen Flue hole uncovered in kitchen IV 52-32, B 'Stairs Up Rail loose and stairs nar'row ~II 2-31, B Outside Cellar Doors rott'snand broken III 52-31, B Outside Guttsrs and leaders Bad III 2-31, B Remarks: .Inspected by: ~~/~ ~;-~~e of I~sp. March 18, 1981 .v..-~ Curtis W. Horton T~me start 11:15 'end 11:30 FORM NO. 6 TOWN OF SOUTHOLD Building Department Town Hall Southold, N.Y. 11971 APPLICATION FOR CERTIFICATE OF OCCUPANCY Instructions This application must be filled in typewriter OR ink, and submitted in duplicate to the Building Inspec- tor with the following; for new buildings or new use: 1. Final survey of property with accurate location of all buildings, property lines, streets, and unusual natural or topographic features. 2. Final approval of Health Dept. of water supply and sewerage disposal-(S-9 form or equal). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Commercial buildings, Industrial buildings, Multiple Residences and similar buildings and installa- tions, a certificate of Code compliance from the Architect or Engineer responsible for the building. 5. Submit Planning Board approval of completed site plan requirements where applicable. For existing buildings (prior to April 1957), Non-conforming uses, or buildings and "pre-existing" land uses: 1. Accurate survey of peoperty showing all property lines, streets, buildings and unusual natural or topographic featu res. 2. Sworn statement of owner or previous owner as to use, occupancy and condition of buildings. 3. Date of any housing code or safety inspection of buildings or premises, or other pertinent informa- tion required to prepare a certificate. Fees: 1. Certificate of occupancy $5.00 :2. Certificate of occupancy on pre-existing dwelling or land use 3. Copy of certificate of occupancy $1.00 $5.00 March 1~, 1981 Date .......................... New Building ............. Old or Pre-existing Building .... .X. ...... Vacant Land ............. Location of Property .............. .H.o.w.a.r..d..A.v .e. ?; .M..e .d.a,~..Ay.e. ........ MB.t; t; [ .t.~qk ....... House No. Street Ham/et Owner or Owners of Property . ,.R.~.s.s.e..]..l..C. ,..N.i.n.e....~...W.F .................................. County Tax Map No. 1000 Section .... .~.]:.~ ....... Block ..... .~,~ ........ Lot ....... ~. ........ Subdivision ................................. Filed Map No.. ~l.7.~ ..... Lot No... Permit No ........... Date of Permit .......... Applicant ...R.~.e.], [. ,C.~ .~7,~(t ............. Health Dept. Approval ........................ Labor Dept. Approval ........................ Underwriters Approval ........................ Planning Board Approval ...................... Request for Temporary Certificate ..................... Final Certificate ....................... Fee Submitted $ ~ . O0 Construction on above described building and permit meets all applicable codes and regulations. Applicant . . .~$-. ~.~ ..................... Rev. 10-10-78 /?'~ ., ~, ty~'/